Behavioral PHA – Weight Management
You earn points by signing up to participate in monitored weight management activities. You may also qualify for this benefit if you are significantly underweight.
Weight Management participants receive a $200 annual benefit to help pay for their weight management program fees at a participating vendor.
Behavioral PHA – Tobacco Cessation
As of January 1, 2014, The Preventive Health Assistance Program no longer manages the Tobacco Cessation Program. The Medicaid Pharmacy Unit manages this program.
Here’s is the current method to obtain these products:
- The recipient needs prescriptions for a nicotine replacement product from their PCP.
- They present it to the pharmacy as they would any other Rx.
- If it is not a preferred nicotine replacement method, then they will need to have their Dr. submit the Rx with the PA form.
- If it is a preferred method (Nico Derm CQ-patches, Gum or Lozenges), will not require a prior authorization.
The forms for prior authorization for non-preferred nicotine methods is on the Idaho Medicaid pharmacy webpage.
Preferred methods of nicotine replacement are:
Nicotine patches (Nico-Derm CQ), gum, or lozenges.
Non-Preferred methods of nicotine replacement are:
Chantix and Nasal spray are not preferred methods and would need to be requested using the above mentioned form.
For questions, you may contact the Pharmacy Unit at (208)364-1829.
After you earn PHA points
You can trade them in (one point = $1) for an authorization that can be used at businesses and organizations that accept the PHA benefit.
You cannot receive both Weight Management and Tobacco Cessation PHA benefits at the same time.
Wellness PHA – If you pay a monthly premium ($10 or $15) for your child’s Medicaid coverage, your child is eligible for the wellness PHA benefit. You can earn 10 points per month for keeping your child’s well-child checks and immunizations current. One point = $1. The points will be subtracted from your monthly Medicaid premiums.
Note: Participants on the Home Care for Certain Disabled Children Program (Katie Beckett) are not eligible for Wellness PHA benefits.
Our address is:
Department of Health & Welfare, Division of Medicaid
3232 Elder Street
Boise, Idaho 83705